HomeMy WebLinkAboutA4874 - LSG SKY CHEFS AIRPORT USE PERMITACORD9
CERTIFICATE OF LI ABI LITY INSU RAN CE 8/1/2026 I DATE (MM/DDNYYY)
~ 06/26/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF I NSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER ..
IMPORTANT : If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to t he terms and conditions of the policy, certain policies may require an endorsement. A statement on this
ce rtificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER Lockton Companies, LLC i::tm,~"
444 W. 47th St., Ste. 900 ml?N,rn "v"• I r~.,
Kansas City MO 64112-1906 E-MAIL
(816) 960-9000 ·-----~.
kcasu@lockton.com IN SURER{SI AFFORDING COVERAGE NAIC#
INSURER A: Zurich American Insurance Company 16535
INSURED LSG SKY CHEFS USA, LLC & INSURER B : American Zurich I nsurance ComDanv 40142
1391554 SCIS AIR SECURITY CORP. INSURERC:
5040 RIVERSIDE DRIVE, BLDG. 1, STE. 200 INSURERD: IRVING TX 75039
INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER· 13323767 REVISION NUMBER· XXXXX.XX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHST ANDI NG ANY REQU IREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
• I T~F TFRMS C:Yrl I -~·"··~ ,,,,n rn, r"IITl('II.I<: ,-,,: "'' ,rH POUC:I ES. LIMITS SHOWN MAY HAVE BEEN RED' lrED BY Dllln r , lllMC:
INSR ADDL SUBI POLICYEFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER I IMM/DDIYYYY1 IMM/DD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY GLO 011 11 f:t~CEIVED 08/01uu2 08/011202t EACH OCCURRENC E s 3 000 000 -:=J CLAIMS-MADE [RJ OCCUR !::'~~-~~':.~ '/c':."", cu $ 500 000 ,__
JUL 22 2025 MED EXP IAnv one oersonl s 10 000 -N N s 3 000 000 PERSONAL & ADV INJURY
"""G°EN'L AGGREGATE LIM IT APPLIES PER : GENERAL AGGREGATE $ 5 000 000 ~ POLICY□ PRO-□Loe i)FFICE OF THE CIT' CLER~ PRODUCTS -COMP/OP AGG $ 3 000 000 JECT
OTHER: $
A AUTOMOBILE LIABILITY BAP 0111183 08 08I01I202e 08/01/202€
CO MBINE D SINGLE LIMIT
IEa accidenl\ s 1,000,000
X ANY AUTO BODIL y INJURY (Per person) $ xxxxxxx --N N OWNED SCHEDULED BODILY INJURY (Per accident $ xxxxxxx -AUTOS ONLY -AUTOS
HIRED NON-OWNED ;!}.?~&:~~t~AMAGE $ xxxxxxx ,__ AUTOS ONLY ,__ AUTOS ONLY
$ xxxxxxx
UMBRELLA LIAB H:CUR N OT APPLICABLE EACH OCC URRENCE s xxxxxxx ,__
EXCESS LIAB CLAIMS-MADE AGGREGATE s xxxxxxx
DED I I RETENTION $ s
WORKERS COMPENSATION X i :,~~\,m: I i",!,51"
B AND EMPLOYERS' LIABILITY Y /N WC0111 18109 08to1I202e 08/01/202y
A /WY PROPRIETOR/PARTNER/EXECUTIVE [ill N WC 0075679 04 (RETRO) 08to1I202e 08/01/202fl E.L. EACH ACCIDENT $ 1000000
OFFICER/MEMBER EXCLUDED? N IA
(Mandatory In NH) E.L. DISEASE· EA EMPLOYEE s 1 000 000
tf yes, describe under
DESCRIPTION OF-OP1:RATlONS below E.L. DISEASE -POLICY LIMIT s 1000000
DESCR IPTION OF OPERATIONS I LOCATIONS / VEH ICLES (ACORD 101, Additional Remarks Schedu le, may be attached if more space Is required)
The City of Palm Springs and ijs officials, employees and agents is named as an additional insured for GUAL coverage only as their interest may appear and on ly if required in a written contract. The
waiver of subrogation endorsement is added in regard lo liability and defense of all cla ims, lawsuits, liabilities or damages of whatsoever from the operations and uses perfonned by or on behalf of the
named insured if required in a written contract. For any claim related to this project, this Insurance coverage shall be primary & non-contributory lo any insurance maintained by certificate holder.
CERTIFICATE HOLDER
13323767
City of Palm Springs
P .O. Box 2743
Palm Springs CA 92262
ACORD 25 (2016/03)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE T HEREOF, NOTICE WILL BE DEL IVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
C 1 ng t s reserve
The ACORD name and logo are registered marks of ACORD
AC RO o® CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYYY)
Ll 8/1/2025 07/25/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must have ADDITIONAL INSURED provisions or be endorsed. N
SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsemenyel.
Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906 RECEIVED
(816) 960-9000
kcasu@lockton.com
[U LSG SKY CHEFS USA, LLC &
5545040 RIR RSIDE 9M� n TfIF JCITY CLERK
5040 RIVERSIDE G'' S
IRVING TX 75039
COVERAGES CERTIFICATE NUMBER: 13323787 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TERMS, L IO S AND COI, DITIONS OF SUCH POLICIES. LIMIT H WN MAY HAVE BEEN REDU ED BY PAIDCLAIMS.
INSR
LTR
TYPE OF INSURANCE
DDL
INSD
UB
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMIDD/YYYYtGENERALAGGRErATE
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
GLO 0111182 07
08/01/202
08/01/2 2NCE
$ 3.000.000
CLAIMS -MADE OCCUR
$ 500,000
N
N
e n
$ 10,000
INJURY
$ 3 000 000
GENL
AGGREGATE UNIT APPLIES PER;
POLICY❑ JPER0. F LOC
EGATE
$ 5 OOO 000
MPIOP AGO
$ 3,000,000
$
OTHER:
A
AUTOMOBILE LIABILITY
BAR 011118307
08/01/202
08/01/2025
EOMBINEDSINGLELIMIT a accident)
$ 1 000000
BODILY INJURY (Per person)
$ XXXXXXXOWNED
ANY AUTO
SCHEDULED
ONLY AUTOS
HIRED NON-OVINED
AUTOS ONLY AUTOS ONLY
n
N
N
BODILY INJURY(Per accident)
$ XXXXXX
XAUTOS
r4O:. VC MAGE
$XXXXXXX
$XXXXXXX
UMBRELLA LIAB
CUR
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
EXCESS LIA9
LAIMS-MADE
DED I I RETENTION $
$
WORKERS COMPENSATION
X
B
A
AND EMPLOYERS'LMBILRv YIN
ANYPROPRiETORPARTNERhXECURVE
OFFlCER WBER E%CLUMD? N ❑
slaidwerr, in NH)
NIA
N
WC 01111810E
WC 0075679 03 (RETRO)
0810112024
08/01/202
05M.UU.
D8/01/202
ELEACHACCIDENT
$ 1,000,000
EL. DISEASE - EA EMPLOYEE
$ 1 000000
DEumvnOe"OF unes' ATIONaIwrw
E.L.DISEASE-POLICY LIMIT
E 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space no regWrttl)
The City of Palm Springs and Is officials, employees and agents is named as an additional insured for GUAL coverage only as their interest may appear and only I required in a written contract. The
waiver of subrogafion endorsement is added in regard to liability and defense of all claims, lawsuits, liabilities or damages of whatsoever from the operations and uses performed by or on behalf of the
named msured it required in a written contact. For any claim related to Mis prox,d. this insurance coverage shall be primary & non- rrtnmdory to any insurance maintained by certificate holder.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE
WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13323767
AUTHORIZED REPRESENTATIVE
City of Palm Springs
P.O. Box 2743
Palm Springs CA 92262
0198 8- 015 A RD RP ATI N. All rights reserved
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Kathie Hart
From: Marjorie Kossler
Sent: March 21, 2011 2:51 PM
To: Jennifer Nelson; Kathie Hart
Cc: Janet Sheraton
Subject: RE: Agreements
Hi Kathie and Jennifer:
This is the information you requested about the following agreements: 'a`
A4874 LSG Sky Chefs expired at the end of the term 4/15/10.
A6028 West Jet is an Airline Incentive Program PO—not the WestJet Airlines A5188 (flying) agreement. A6028 is
still active—advertising—no COI required--no onsite.
A5001 Delta was the Non Signatory Agreement—replaced by the Delta Signatory Agreement 5921 effective
12/15/09.
Marjorie M. Kossler
Palm Springs International Airport
3400 E. Tahquitz Canyon Way, Suite OFC
Palm Springs, California 92262
Telephone: (760) 318-3800 Fax: (760) 318-3815
Marjorie.Kossler@paimsprings-ca.gov
From: Jennifer Nelson
Sent: Thursday, March 17, 2011 4:01 PM
To: Marjorie Kossler
Cc: Kathie Hart
Subject: Agreements
Hi there. Could the confusion we are having with these Airport agreements be that most of them are old, closed
agreements, but City Clerk has not been notified and therefore not updated our system?
Please let me know if the following agreements are still current:
A4874 LSG Sky Chefs
A6028 West Jet
A5001 Delta
Thanks so much for your help. Hopefully this is what the issue is.
Yennifer Nefson
Executive ServicesAssistant
city Of Pa(m Springs
760-323-8299
Pfease note CityYfaffis open Monday-2buzday 8am-6pm.
, ifer.nefson@ttafn—ap Agzagoy
°�- ;AL A. ity of Palm Springs9 cl
�^ Depnrcmenc of Avindon
' Palm Springs lateraational Airport
+, + ly`a �r, 3400 E.Tahyuicz Canyon Way,Suite OFC • Film Springs, California 92262.6966
e. .."v'p
TEL;(760) 318-3800 • FAX(760)313-3815 • TOD(760)364-9527
April 13, 2009
Mr. John Hayes, Director Corp. Real Estate
LSG SkyChefs
6191 N. State Hwy. 161
Irving, TX 75038
RE: CITY OF PALM SPRINGS AGREEMENT 4874 — OPTION
Dear Mr. Hayes,
Per your request, the annual option to the LSG SkyChefs Agreement #4874 with
the City of Palm Springs for Airline Catering Services at Palm Springs
International Airport has been extended for the period April 16, 2009 through
April 15, 2010.
Theansurance certificate we have on file is current until January 1, 2010,
If you have any questions concerning this matter, please contact me at
760.318.3808 or via email at Janet.sheratonCc��palmsorinas-ca.gov
Sincerely,
„JJ net Sheraton
Airport Asset Manager
cc: Via email to iohn.h.hayes(a),lsgskychefs.com
City Clerk
LSG file
Outgoing correspondence
Pose Office Box 2743 • Palm Springs, California 92263-2743
OF PAL/, 8p
- � � , city ® ��� ��� e� s
1
� Depatcmenr of Aviaxion l
* P Palm Springs International Airport
• *vR*ry 3�D0 E.Tali ntz Can you Way,Suice OFC ° Palm 5 xtix s California 92262-6966
c�L�FORN,P W:(760)315-3800 • Fax: (760)318-3615 ' Web:www.paLnspringsairpo .cam
May 5, 2008
Mr. John Hayes, Director Corp. Real Estate
LSG Sky Chefs
6191 N. State Hwy 161
Irving, TX 75038
RE: CITY OF PALM SPRINGS AGREEMENT#4874
Dear Mr. Hayes,
Per your request to exercise; the annual option to the LSG Sky Chefs Agreement
#4874 with the City of Palm Springs for Airline Catering Services at Palm Springs
International Airport has been extended for the period April 16, 2008 through
April 15, 2009,
If you have any questions concerning this matter, please contact me at
760.318.3808 or via email at Janet.Buck@palmsprinas-ca.clov
Sincerely,
*'et Buck
Airport Asset Manager
cc: City Clerk
City of Palm Springs, Accounts Receivable
LSG file
Outgoing correspondence file
Post Office Box 2743 0 Palm Springs, California 92263-2743
PALM
F S
% `�. City of Palm Springs
i peparrmmr of Aviafion
Palm Springs International Airport
",D*•ORA.r' 3400$'rah uim Can on Way,Sake 0FC•Palm S rio 5 C-4fomia 92262,6966
C P 9 � Y Y P � S .
q�iFO&�\ 'W:(760)518-3800"Pax:(760)318-3815•Web: ww-pa1A spdngSMirport-cvM
May 16, 200.7
Mr.John Hayes, Director Corp.Real Estate
'LSG Sky Chefs
6191 M State Hwy 161
Irving,T--� 75038
RE: CITY OP PALM SPRINGS AGREEMENT$4874
Dear Mr. Hayes,
Per your request to exercise;the annual option to the LSG Sky Chefs Agreement#4874
with the City of Palm Springs ror Airline Catering Services at Palm Springs International
Airport has been extended for the period April 16,2007 through April 15,2009.
If you have'any questions concerting this matter,please contact me at 7'60.318.3808 or
via email at Janet.Bllcic ahnsorin s-ea ov
Sincerely,
9 r
an Buck
Airport Asset Manager
cc: City Clerk
City of Palm Springs, Accounts Receivable
LSG fFle'qp
Outgoing correspondence file
1
I
Post Office Box 2743 • Palm Springs, California 92263-2743 {
F ` -
AMLSO
RE'ppaa $Iw GhefS wra�o 3mtc+°
APR 17 ZU07 p §
u� �•' Hi Ji+!, f "'. E191 Nalh SlafC Yliway 161
hvmg,tJC75P36
March 30,2007 ana rm-r000
FllK 793.9x16
Ms.Janet Buck
Airport Asset Manager '
Palm Springs International Airport
3400 E.Tahquita Canyon Way
Suite OFC
Palm Springs, CA 92262
Re, City of Palm SpringsAgreement#4874
Dear Janet:
Thank you for your letter of March 22,M07 regarding the above referenced agreement.
Please be•adAsed that LSG Sky Chefs does wish-to renew this Agreement for a one year
term expiring April 15,2008. Please send to me any appropriate documentation to
evidence this renewal 1 will have the revised insurance certiiicates provided as you have
requested.
Thank you very.much.Please call me at(972)793-9621 should you have any questions
or need additional'infotmatiom
sincerely,
L
Jo ETayes
rrector, Corporate lteaI Estate ,
PALM
-Ity of Palm Springs
Department of Aviation
. 1 r Palm Springs International Airport
3400 E.Tahquirz Canyon Way,Suite OPC • Palm Springs, California 92262-6966
4 l 1 FCJR4 TEL (760) 318-3800 • FAX(760)318-3815 • TDD(760)864-9527
April 26, 2006
Ms. Sondra Lehman, CFO
LSG Sky Chefs
6191 N. State Highway 161, Suite 107
Irving, TX 75038
RE: PSP —Agreement #4874
Dear Ms. Lehman:
This letter serves as confirmation that Agreement #4874 between the City of
Palm Springs and LSG Sky Chefs is hereby extended for the period April 22,
2006 through April 21, 2007.
Please forward a current certificate of insurance per the agreement at your
earliest convenience.
Sincerely, � p
an t BuckcN
Al port Asset Manager
Cc: Outgoing correspondence file
City Clerk
LSG Sky Chefs
Post Office Box 2743 0 Palm Springs, California 92263-2743
Sky
Sky Chefs
6191 Nodh 51S'•tP.HighwRy 161
Suite 107
IrvIOgj TX YSoae
April 1.8,2006
Mike N. Williams, A.A.E.
Deputy Director of Aviation—Operations
Palm Springs International Airport
3400 E. Tahquitz Canyon Way, Suite OFC
Palm Springs, CA 92262
Re: LSG Sky Chefs("Sky Chefs")
Airport Use Agreement 44874
Palm Springs International Airport
Dear Mr. Williams:
Please allow this letter to serve as notice of Sky Chefs application to.renew the above
referenced Use Agreement as provided within Section 7 of such Agreement. Please
provide any documentation necessary to farther finalize this renewal or call with any
questions you may have. Thank you.
LSG Sky Chefs
Sand t c man
Chief Financial Officer
LSO Lufthansa Service
TW SKY Chefs
ca s %l I
1 E.AWon St.
Onlvlb,CA&9767
FU f 33W4WD
April 18,2005
Mike N. Williams,A.A.E.
Deputy Director of Aviation—Operations
Patin Springs International Airport
3400 E.Tahquitz Canyon Way, Suite OPC
Patin Springs, CA 92262
Dear Mr. Williams
This is an application for renewal of an additional term to operate and engage in
corninercial activity on the Pahn Springs International Airport premises as provider of
catering set-vices to all airlines serving the Palm Springs Airport.
Sincerely,
�lenry�t, ea
General Manager
LSG Sky Chefs
1902 E. Avion Street
Ontario, CA 91761
LSG Sky Chefs
Airport Use Agreement
AGREEMENT #4874
AIRPORT USE AGREEMENT MO7476, 4-21-04
AND - - -
PERMIT APPLICATION
This application("Application")for Airport Permit,which shall be and become an Airport Use
Agreement ("Agreement") upon approval and acceptance by the Palm Springs City Council, is
submitted by:
COMPANY: LSG Sky Chefs, Inc.
ADDRESS: 6191 North State Highway 161, Irving, TX 75038
this 4r day of N\- 6 2004.
Pursuant to the provisions of Chapter 11.33 and 11.34 of the Palm Springs Municipal Code
adopted by the City Council of the City of Palm Springs, the provisions thereof being incorporated
herein by reference, applicant hereby petitions for a permit to operate and engage in commercial
activity on the Palm Springs International Airport ("Airport") premises as provider of catering
services to airlines serving the Airport("Inflight Caterer"), The number of vehicles to be utilized on
the Airport is '_.
1. Attachment# 1: Applicant must complete and return the vehicle identification form
along with this Agreement before the Airport's acceptance of this Application to conduct the
services under this Agreement. Vehicle information, year, make, model, color, license number,
companies'vehicle number,along with contact person,address,and business phone number must
be completed and legible. Each permit decal is assigned to a certain vehicle and will be
permanently affixed to that vehicle and is non-transferable.
2. Records and Payment of Fees: Applicant shall keep and maintain such records,
reports and accounts as are deemed reasonable and necessary by the City to insure proper
payment of Airport Access Fees provided for in Resolution#17796'Comprehensive Fee Schedule'.
Applicant further agrees to make such records available for inspection and audit by the City, its
designated agents or employees within 48 hours of the City's request therefor. Applicant shall pay
to the City the fees described in the Comprehensive Fee Schedule monthly within the first fifteen
(15) days of the month immediately following the month in which the fees were accrued.
3. Insurance:
(a) Liability Insurance: During the entire term of this Agreement,Applicant agrees
to procure and maintain public liability insurance at his sole expense to protect against loss from
liability imposed by law fordamages or account of bodily injury, including death therefrom, suffered
or alleged to be suffered by any person or persons whomsoever, resulting directly or indirectly from
�f-n_
.r
any act or activities of Applicant, or any person acting for Applicant or under its control or direction,
and also to protect against loss from liability imposed by law for damages to any property of any
person caused directly or indirectly by or from acts or activities of Applicant or any person acting
for Applicant, or under its control or direction. Such public liability and property damage insurance
shall also provide for and protect Applicant and the City against incurring any legal cost in
defending claims for alleged loss. Such public liability and property damage insurance shall be
maintained in full force and effect throughout the term of this Agreement and any extension thereof
in the following minimum limits:
Bodily Injury $1,000,000 each person
3,000,000 each occurrence
Property Damage $3,000,000 each occurrence
3,000,000 aggregate
A combined single limit policy with aggregate limits in an amount not less than Three Million
Dollars ($3,000,000) will be considered equivalent to the required minimum limits. All of such
insurance shall be primary insurance and shall name the City as an additional insured.
The insurance coverage required hereby shall include, but is not limited to, coverage for
owned and non-owned vehicles, and that portion of the required coverage shall not be less than
Three Million Dollars ($3,000,000.00) combined single limit coverage.
If the operation under this Agreement results in an increased or decreased risk in the
opinion of the City Manager,then Applicant agrees that the minimum limits hereinabove designated
shall be changed accordingly upon request by the City manager provided, however, that the
Applicant may appeal to the City Council within ten (10) days after any increase is requested and
such requirement for increased coverage shall be subject to determination by the City Council.
Applicant agrees that provisions of this paragraph as to maintenance of insurance shall not
be construed as limiting in any way the extent to which the Applicant may be held responsible for
the payment of damages to persons or property resulting from Applicant's activities,or the activities
of any person or persons for which Applicant is otherwise responsible.
(b) Worker's Compensation Insurance: The Applicant shall procure and maintain,
at its sole expense, Worker's Compensation Insurance in such amounts as will fully comply with
the laws of the State of California and which shall indemnify, insure and provide legal defense for
both the Applicant and the City against any loss, claim or damage arising from any injuries or
occupational diseases happening to any worker employed by the Applicant in the course of carrying
out the within Agreement.
(c) The failure of Applicant to procure or to maintain any insurance coverage
required herein shall constitute cause for denial or revocation of the permit applied for, but no duty
is imposed upon or assumed by the City to monitor or assure the procurement or maintenance of
such insurance. The failure of the City to monitor such procurement or maintenance, shall not give
rise to any cause of action against the City, its officer, agents or employees by any third party.
(d) Evidence of Insurance: A certificate of insurance, or an appropriate insurance
binder, evidencing the above insurance coverage with a company acceptable to the City°s frisk
Management Officer, shall be submitted by Applicant with the Application.
(e) Notice to City, Insurance Coverage Change: The terms of the insurance policy
or policies issued to provide the above insurance coverage shall provide that said insurance may
not be amended or canceled by the carrier, for non-payment of premiums or otherwise, without
sixty (60) days' prior written notice of amendment or cancellation to the City. In the event said
insurance is canceled, Applicant shall, prior to the cancellation date, submit to the Director of
Aviation new evidence of insurance in the amount heretofore established.
4. Indemnification. Applicant hereby indemnifies the City, its officers, agents and
employees against, and will hold each of them harmless from, any and all actions, suits, claims,
damages to persons or property,losses,costs,penalties,obligations,errors,omissions or liabilities
that may be asserted or claimed by any person, firm or entity arising out of in connection with the
negligent performance of the work, operations, or activities of Applicant, its agents, employees,
subcontractors, or invitees, provided for herein, or arising from the acts or omissions of Applicant
or its agents, officers, or employees, whether or not there is concurrent passive or active
negligence on the part of the City, its officers, agents or employees but excluding such claims or
liabilities arising from the sole negligence or willful misconduct of the City, its officers, agents or
employees, who are directly responsible to the City, and in connection therewith:
(a) Applicant will defend any action or actions filed in connection with any of said
claims or liabilities and will pay all costs and expenses, including legal costs and attorney fees
incurred in connection therewith;
(b) Applicant will promptly pay anyjudgment rendered against the City, its officers,
agents or employees for any such claims or liabilities arising out of or in connection with the
negligent performance of or failure to perform such work, operations or activities of Applicant
hereunder; and Applicant agrees to save and hold the City, its officers, agents, and employees
harmless therefrom;
(c) In the event the City, its officers, agents or employees are made a party to any
action or proceeding filed or prosecuted against Applicantfor such damages or other claims arising
out of or in connection with the negligent performance of or failure to perform the work, operation
or activities of Applicant hereunder, Applicant agrees to pay to the City, its officers, agents or
employees, any and all costs and expenses incurred by the City, its officers, agents or employees
in such action or proceeding, including, but not limited to legal costs and attorney fees.
5. Assignment Sale or Transfer of Agreement or Permit: Applicant herein expressly
understands and agrees that any permit granted under this Agreement may not be assigned, sold
or otherwise transferred to any other individual, firm or corporation. Applicant further agrees to
comply with all applicable Federal, State and local laws. Each permit decal will be assigned to an
individual vehicle and permanently affixed and is non-transferable among vehicles.
6. Certification of Ownership: Applicant certifies that Applicant is conducting business
as a corporation and the principal officers thereof are:
and that the mailing address to which notices or other communications shall be sent is:
r
7. Term. This Agreement shall expire one year from the date of approval. An
application for renewal for an additional term may be filed thirty (30) days prior to expiration.
Appropriate fees shall accompany this and any renewal application. Portage fees shall be based
upon 10.5% of gross sales.
8. Compliance with Laws. Applicant shall comply with all of the requirements of all
municipal, state and federal authorities not in force or which may hereafter be in force pertaining
to the operations of Applicant at the Airport.
9. Applicable Law. The parties hereto agree that the State of California is the proper
jurisdiction for litigation of any matters relating to this Agreement,and service mailed to the address
of Applicant set forth herein shall be adequate service for such litigation. The parties further agree
that R iverside C ounty, C alifornia i s t he p roper p lace f or v enue a s t o a ny s uch litigation a nd
Applicant agrees to submit to the personal jurisdiction of such court in the event of such litigation.
10. Federal Laws. Applicant for itself, its successors in interest and assigns, as a part
of the consideration hereof, does hereby covenant and agrees that it shall not discriminate on the
basis of race, color, national origin, or sex in the performance of this contract. Applicant shall carry
out applicable requirements of 49 CFR part 26 in the award and administration of DOT-FAA-AIP
assisted contracts. Failure by Applicant to carry out these requirements is a material breach of this
Agreement, which may result in the termination of this contract or such other remedy, as the City
deems appropriate.
11. Entire Agreement.This Agreement covers in full each and every agreement of every
kind or nature whatsoever between the parties hereto concerning this Agreement,supersedes any
and all previous negotiations, agreements and understandings, if any, between the parties, oral or
written, and merges all preliminary negotiations and agreements of whatsoever kind or nature
r
herein. Applicant acknowledges that City or its agents or representatives have made no
representations or warranties of any kind or nature not specifically set forth herein.
LSG Sky Chefs, Inc.
c 6 f-t4
Signature �
air
Approved and Authorized - Director of Aviation
Date Date of Approval: , 2004.
Notary page follows.
IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the
date first written above.
CITY OF PALM SPRINGS
ATT frT a municipal corporation
9�
City Clerk City Manager
APPROV�'PASJOFORIU: p i� °„``.y a; ,{�I t({n14Y ( ',J'f sS•.:,y
\ IJ
By: 61 —_._jAV'
.j
City Attorney
CONTRACTOR: Check one:_Individual_Partnership S— orporation
Corporations require two notarized signatures: One from each of the following: A. Chairman of Board, President, or any Vice
President:AND B.Secretary,Assistant Secretary,Treasurer,Assistant Treasurer,or Chief Financial Officer).
�r Signature (ndw,iz�c� Signature(notarized)
u
I
dd
Name: _.�'VN�� n�� S J�11,�1Jer' Name: � 16'c�GtiS 6-,
1� �( L U }
Title: 5 W P T'�.�
�o�1 ol'A C Title:
State of gg��;�)� State of � G�S
County of b ii d o s �ss M�U��J 'I County of I� y
on . 14foreme, �Ud>,VtIC KLL' f�t/It%�' Ird On��,6_.L.I, before me/.Y�t!(',V'1i Q'. `C%C^ 6�®A "g' l�
/11 y1i� p
personally appeared y���W�fe-� !�MC��p personally appeared
u
personally known to me (or proved to me on the basis of personally known to me (or proved to me on the basis of
satisfactory evidence)to be the person(s)whose name(s)is/are satisfactory evidence)to be the person(s)whose name(s)is/are
subscribed to the within instrument and acknowledged to me subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their authorized that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s),or the entity upon behalf of which the instrument the person(s),or the entity upon behalf of which the
person(s)acted,executed the instrument. person(s)acted,executed the instrument.
WITNESS my hand and official seal. WITNESS my hand and official seal.
Notary Signature:) L�� -t �" ���`eg '_✓ �•�Jft0tt �) Notary Signature:'�U��✓�,Ll.ft
Notary Seal: (/ rJ Notary Seal:
_. 1M'rvsW'. BONNIE{(!aY DhDCiWELL .( ti�+per n EL
,.. ^,• BONNIE&'JaY B,MGWELL=
MY COMMISSION EXPIRES If ��� f` MY COMMISSION EXPIRES
: v
Decembor27 2005 `=,+.E... ,. 11
1 ,.,,,v8 `•' � "'ea ES^° Docembgr 27,2005 i
N
O
O
l
J
J N
O N
o LSGISKY CHEFS
x
PSP VEHICLES x
o VEH# YE . MAKEIMODEL SEMLNUMBER TYPE FUEL LICENSE PUBLIC '
z LENGTH TYPE ROADS
1 10 90 FORDIPKIRANGER 1FTCR10A8LUA39510 PK GASOLINE 3Z84t04 v
ID m
2 46 98 FORDIF-800120FT 1FOX1481EOVVA38446 REF DIESEL 5V34596 v
0 3 978 87 FORDIF-600116FT 1 FDNT64P3HVA38033 HI-LIFT DIESEL 3G33223 Y
_ o
En 4 17 88 FORD/F-600I16FT 1FDPK74P3JVA59777 HI-LIFT DIESEL SN42524 Y
N r
N
N �
O �
i O
a
i
i
l
AQ 3
L'
M
{
J
J
{
J
J
: V)
Lu
{W
{L)
Y
py
co
J
i
7
ACORD. CERTIFICATE OF LIABILITY INSURANCE 1DATE z/292/29 MIDD YY)
/D3
PRODUCER 1-972-793-9773 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Star Risk Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2418 Lakeside Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Arlington, TX 76013 INSURERS AFFORDING COVERAGE
INSURED INSURERA.Old Republic Insurance Company
LSG Sky Chefs, Inc.
INSURER B.
6191 North State Highway 161 INSURERC
Irving, TX 75038 INSURER D:
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATE RVMIOD�) DATE fmwnn�i LIMITS
A GENERALLIABILITY MWZY 56072 12/01/03 01/01/05 EACH OCCURRENCE $3,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $3,000,000
CLAIMS MADE FxIOCCUR MED EXP(Any one person) $10,000
X Off-Airport Only PERSONAL&ADV INJURY $3,000,000
GENERALAGGREGATE $3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $3,000,000
JECT
POLICY PRO- LOC
A AUTOMOBILELIABILITY MWTB 18858 12/01/03 01/01/05
COMBINED SINGLE LIMIT $3,000,000
X ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY §
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Peraccidenl)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY. AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND MWC 108BSI 00 12/01/03 01/01/05 X WC STALIMTU- OTH-
CRYEMPLOYERS'LIABILITY 1,000,000
E.L.EACH ACCIDENT $
EL DISEASE-EA EMPLOYEE 1,000,000
EL DISEASE-POLICY LIMIT 51,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
City fo Palm Springs Airport License Permit for SCIS Air Security Corporation
CERTIFICATE HOLDER ADDITIONAL INSURED,INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City & Airport Of Palm Springs, Palm Springs DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
International Airport Department of Aviation NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT,BUT FAILURE TO DO SO SHALL
3400 E. Tahquitz Canyon way IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Suite-OFC REPRESENTATIVES.
Palm Springs, CA 92262-6966 AUTHORIZED REPRESENTATIVE
USA �'�;
ACORD 25-S(7/97) CPeterson o ACORD CORPORATION 1988
1534755
Powered ByCertificaresNow'N
L J